NPI | 1669107512 |
---|---|
Former Name | MIRANDA DOWNS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95029206) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO APN.0997765) |
Enumeration Date | 2022-07-22 |
Last Update Date | 2024-05-20 |